| 摘要: |
| 目的:分析个体化设计的儿童全肠外营养(TPN)液使用情况,促进TPN 支持药物的合理应用。方法:收集苏州大学附属儿童医院2017年209例住院患儿个体化设计TPN液处方3 060张,并查阅我院电子病历系统,结合临床诊断和住院天数等信息,对TPN液应用的适应证、使用疗程、营养素种类、各营养组分配比和用药合理性等进行统计分析。结果:儿童使用TPN液适应证用药189例(91.40%),使用疗程<4 d 60例(28.71%),应用强化营养素谷氨酰胺(1-2 d)和w-3鱼油脂肪乳(<10 d)的使用疗程过短;糖脂比合格率88.30%,热氮比合格率82.51%,非蛋白热量、液体量和糖胰比合理。结论:我院儿童使用个体化TPN液存在不合理的情况,仍有待进一步改进。 |
| 关键词: 儿童 全肠外营养液 应用分析 合理用药 |
| DOI：10.13407/j.cnki.jpp.1672-108X.2019.06.015 |
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| 基金项目: |
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| Individualized Application of the Total Parenteral Nutrition in Children |
| Wang Erkuan, Zhou Lifang |
| (Children's Hospital of Soochow University, Jiangsu Soochow 215025, China) |
| Abstract: |
| Objective: To analyze the individualized application of the total parenteral nutrition (TPN) fluid in children, and promote
the rational application of TPN support drugs. Methods: A total of 3,060 prescriptions for the TPN of 209 hospitalized children in the Children's Hospital of Soochow University from Jan. to Dec. 2017 were collected, and the electronic medical record system of our
hospital was retrieved. Combined with information such as clinical diagnosis and length of stay, the indications for the application of TPN solution, the course of treatment, the categories of nutrients, the distribution ratio of each nutrition group and the rationality of medication were statistically analyzed. Results: Totally 189 cases (91.40%) were treated with TPN solution, 60 cases (28.71%) with the course of treatment <4 d, and the course of treatment of intensive nutrient glutamine (1-2 d) and w-3 fish oil fat emulsion (<10 d) was too short. The ratio of glycolipid to fat was 88.30%, the rate of heat and nitrogen was 82.51%, and the non-protein calories, liquid amount and sugar pancreas were rational. Conclusion: The individualized application of TPN in children is irrational and needs further improvement. |
| Key words: children total parenteral nutrition application analysis rational drug use |
